Individual provider Active NPI

Judith Ann Langreder, LPC

  • Professional Counselor
  • Surprise, AZ
National Provider Identifier
1063602134
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10833 Issued in AZ
Practice address
12211 W Bell Rd
109
Surprise, AZ 85374-9521
Phone
(623) 332-6150
Fax
(623) 243-6207
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-10833 AZ Primary

Addresses

Primary practice location

12211 W Bell Rd
109
Surprise, AZ 85374-9521

Mailing address

PO Box 8885
Surprise, AZ 85374-0131
Phone (623) 332-6150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-10833AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritplay Counseling Center, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1063602134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8885",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740131",
            "telephone_number": "623-332-6150",
            "fax_number": "623-243-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W BELL RD",
            "address_2": "109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749521",
            "telephone_number": "623-332-6150",
            "fax_number": "623-243-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGREDER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.